不同引流袋预防结直肠癌患者术后尿路感染的效果比较  

Efficacy Comparison of Three Kinds of Urine-drainage Bags in Prevention of Postoperative Urinary Tract Infection of Colorectal Cancer Patients

作　　者：王宏茹[1] WANG Hong-ru(Nursing Division,the First People's Hospital of Xinxiang City,Xinxiang,Henan 453000)

机构地区：[1]新乡市第一人民医院护理部,河南新乡453000

出　　处：《中国肛肠病杂志》2021年第2期44-45,共2页Chinese Journal of Coloproctology

摘　　要：为比较不同引流袋预防结直肠癌患者术后尿路感染的效果,选择2017年4月至2020年4月于我院接受手术治疗且术后需留置导尿7d以上的102例结直肠癌患者作为研究对象,随机分为Ⅰ组、Ⅱ组和Ⅲ组,各34例,均使用一次性导尿包进行留置导尿操作,Ⅰ组接普通引流袋(每周更换2次),Ⅱ组接康维抗反流引流袋(每周更换1次),Ⅲ组接防逆流引流袋(每周更换1次)。比较3组患者术后第1、3、5、7天尿路感染发生率。结果显示,3组患者术后第1、3、5天尿路感染发生率比较差异均无统计学意义,P>0.05。术后第7天,Ⅱ组、Ⅲ组尿路感染发生率均明显低于Ⅰ组,P<0.05;而Ⅱ组、Ⅲ组尿路感染发生率比较,差异无统计学意义,P>0.05。结果表明,结直肠癌术后留置导尿7d以上者采用康维抗反流引流袋或防逆流引流袋引流,有利于降低尿路感染风险。This study was to compare the efficacy of three kinds of urine-drainage bags in prevention of postoperative urinary tract infection,enrolled 102 colorectal cancer patients who had received surgery,then to be subject to disposable indwelling package catheterization for more than 7 days in authors’ hospital(2017-04-2020-04)into this research:to divide randomly them into groupⅠ(connected with common urine-drainage bag,exchange 2 times/week),group Ⅱ (anti-backflow’bag,exchange 1 time/week),and groupⅢ(countercurrent-preventing bag),34 cases for each group;then,compared the urinary tract infection incidence between the three groups,on the 1 st,3 rd,5 th and 7 th after surgery.As results,the infection rate on the 1 st,3 rd,and 5 th day there all was no statistical difference between the three groups(P >0.05);only on the 7 th day groupⅡandⅢ’rate were significantly higher than group Ⅰ’rate(P<0.05),but between group Ⅱ and group Ⅲ,was not(P >0.05).Results show that for the patients to be subject to indwelling catheterization for≥ 7 days after surgery adopting anti-backflow-esque,or countercurrent-preventing-esque bag is more beneficial to reduce risk of urinary tract infection.

关 键 词：结直肠癌 术后 留置导尿 普通引流袋 康维抗反流引流袋 防逆流引流袋 尿路感染 预防 

分 类 号：R473.73[医药卫生—护理学]